Marturello Danielle M, Gazzola Krista M, Déjardin Loïc M
Department of Small Animal Clinical Sciences, Michigan State University, East Lansing, Michigan.
Vet Surg. 2019 May;48(4):597-606. doi: 10.1111/vsu.13167. Epub 2019 Jan 25.
To report tibial fracture repairs with I-Loc angle-stable interlocking nails (AS-ILN) in 2 calves.
Clinical case reports.
One 5-day-old Holstein calf and one 3-month-old beefalo calf.
In a 50-kg Holstein calf, a proximal juxtametaphyseal comminuted tibial fracture with tibial tuberosity slab fracture was repaired with an 8-160-mm I-Loc nail and 2 cortical lag screws. In an 89-kg beefalo calf, a long oblique middiaphyseal tibial fracture was repaired with an 8-185-mm I-Loc nail and 5 double loop cerclage wires. In each case, an I-Loc AS-ILN was selected because unique biomechanical challenges precluded treatment with traditional osteosynthesis methods, such as external coaptation or plate fixation.
No complications were diagnosed, and clinical union was documented 4 weeks after surgery in both cases. Axial growth continued in both calves, with no evidence of angular limb deformity at 7- and 6-month follow-up.
This is the first report describing the use of the I-Loc nail in a bovine species. This application led to uncomplicated healing of tibial fractures and continued growth in both young calves described here.
Interlocking nailing may provide an effective and safe alternative for osteosynthesis of tibial fractures in young calves. Insertion of the AS-ILN across the center of the proximal tibial physis of a rapidly growing calf does not seem to alter its growth potential.
报告2头犊牛使用I-Loc角稳定交锁髓内钉(AS-ILN)修复胫骨骨折的情况。
临床病例报告。
1头5日龄荷斯坦犊牛和1头3月龄皮弗娄牛犊牛。
在1头50千克的荷斯坦犊牛中,使用一根8 - 160毫米的I-Loc髓内钉和2枚皮质骨拉力螺钉修复近端干骺端粉碎性胫骨骨折伴胫骨结节骨块骨折。在1头89千克的皮弗娄牛犊牛中,使用一根8 - 185毫米的I-Loc髓内钉和5根双环环扎钢丝修复长斜形中段胫骨骨折。在每种情况下,选择I-Loc AS-ILN是因为独特的生物力学挑战排除了使用传统骨固定方法(如外部固定或钢板固定)进行治疗的可能性。
未诊断出并发症,两例术后4周均记录到临床愈合。两头犊牛的轴向生长均持续,在7个月和6个月的随访中均无肢体成角畸形的迹象。
这是首次描述在牛科动物中使用I-Loc髓内钉的报告。这种应用导致了此处描述的两头幼龄犊牛胫骨骨折的顺利愈合和持续生长。
交锁髓内钉可为幼龄犊牛胫骨骨折的骨固定提供一种有效且安全的替代方法。在快速生长的犊牛胫骨近端骨骺中心插入AS-ILN似乎不会改变其生长潜力。